Inamoto Kyoko, Murray Greg M, Whittle Terry
Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, Westmead Centre for Oral Health, University of Sydney, Westmead, Australia.
Department of Endodontics, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi, Japan.
Eur J Oral Sci. 2017 Feb;125(1):34-43. doi: 10.1111/eos.12321. Epub 2016 Dec 22.
The aims of this study were to determine whether: (i) the jaw motor system develops a new pattern of jaw movement and/or jaw-muscle activity after resolution of an acute episode of jaw-muscle pain; and (ii) if jaw-muscle activity and jaw-movement features change progressively with repetition of a chewing sequence. Jaw movement and jaw muscle (masseter, anterior temporalis, and digastric) activity were recorded during free and rate-standardized chewing in eight asymptomatic participants (pain infusion group), before and at three time blocks up to 45 min after a single 0.2-ml bolus infusion of 5% hypertonic saline into the right masseter muscle. The same procedure, without infusion, was performed in another eight participants (control group). There were no significant main effects of group on jaw movement and muscle activity, suggesting that there were no persistent post-pain effects on chewing. Across groups, repetitions of free and unstandardized chewing movements were associated with progressive increases in velocity and amplitude of jaw movement and masseter and temporalis electromyographic (EMG) activity. These findings suggest that factors unrelated to pain, such as practice effects, may be playing a role in the changes in jaw movement and jaw-muscle activity observed after resolution of an acute episode of jaw-muscle pain.
(i)在一次急性咬肌疼痛发作缓解后,下颌运动系统是否会形成一种新的下颌运动模式和/或咬肌活动模式;以及(ii)咬肌活动和下颌运动特征是否会随着咀嚼序列的重复而逐渐改变。在八名无症状参与者(疼痛注入组)单次向右侧咬肌注入0.2毫升5%高渗盐水之前以及之后45分钟内的三个时间点,记录他们在自由咀嚼和速率标准化咀嚼过程中的下颌运动和咬肌(咬肌、颞肌前束和二腹肌)活动。另外八名参与者(对照组)进行了相同的程序,但未注入盐水。组间对下颌运动和肌肉活动没有显著的主效应,这表明疼痛对咀嚼没有持续的后期影响。在所有组中,自由且未标准化的咀嚼运动重复进行与下颌运动速度和幅度以及咬肌和颞肌肌电图(EMG)活动的逐渐增加相关。这些发现表明,与疼痛无关的因素,如练习效应,可能在急性咬肌疼痛发作缓解后观察到的下颌运动和咬肌活动变化中起作用。